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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone., (209) 468-3420 Fax: (209) 468-3433 Web.vvww.siaov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: SHOP N (303 Facility Phone: (209-1952-0001 Date: R"1111 a y 10 2 016 Facility Address: 45-111 PACIFIC AVE, S-�(DCKTON, CA95207 CERS ID: '10,180943 Inspection Contact: 1,01,oe Rana Title: Nlanaqer Phone: (209) Inspection Type: 0 UTI i !N1 S P E C "I"! P 1. i n f-1 F`Ici r rn i t gram: 5;_ -R Consent For: Inspection 'L Photos Samples Consent Given By: I Moe Rana, Manlllcl.lgll,ar ervice Technician Onsite: Exp. Date: Servicer Zar -se Nirnnrv., 06" 19/2017 Designated operator: Exp. Date: KLeri A Z /05/201 Service Technician Manufacturer's Training VR 091/27/170211/02/17 Tank I-eslkei,l 1/10/ CCR = California Code of Regulations HSC = Health and Safety Code CFR= Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V Ei R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted a V m R Ei COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current Ei V ci R o COS 105 HSC 25286(c) Current BOE number not submitted o V Ei R ii COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD o V ii R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed Ei V ci R o COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 109 CCR 2637 Failed to test secondary containment D V o R D COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V i:i R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually m V o R Ei COS 112 HSC 25284.2 j Failed to test spill containers annually ® V u R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ® V . R . COS 114 CCR 2636(o Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R c COS 115 CCR 2715(x) Failed to inform the EHD of a change of designated operator within 30 days oV oR ii COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification o V E R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well Ei V o R ri COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test Ei V o R o COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after Ei V Ei R o COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests Ei V Ei R o COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V i -i R Ei COS 124 CCR 2635(4) Failed to submit UST Certification of Installation/Modification [i V Ei R o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R ci COS 126 HSC 25404(e)(4) Failed to report program data electronically Ei V Ei R Ei COS